title: Total anomalous pulmonary vein drainage in an adult diagnosed by helical computed tomography.
abstract: A 41-year-old man visited our hospital with the complaint of palpitation by atrial flutter. He was finally diagnosed as total anomalous pulmonary vein drainage by helical computed tomography (CT). This case is very unusual due to the lack of symptoms until the age of 41. The absence of pulmonary artery stenosis, and the presence of atrial septal defect providing sufficient right to left shunt flow to maintain the output of left ventricle are some of the reasons to explain the lack of symptoms and very slight impact on daily life. Helical CT, in particular 3-dimensional imaging, is very useful in diagnosing complicated cardiovascular deformation as in this case.
authors.affiliation: Department of Medicine, Fujita Health University School of Medicine, Toyoake, Aichi.
authors.forename: H
authors.initials: H
authors.lastname: Shinozaki
authors.forename: K
authors.initials: K
authors.lastname: Shimizu
authors.forename: H
authors.initials: H
authors.lastname: Anno
authors.forename: M
authors.initials: M
authors.lastname: Kinoshita
authors.forename: E
authors.initials: E
authors.lastname: Ishikawa
authors.forename: H
authors.initials: H
authors.lastname: Naruse
authors.forename: A
authors.initials: A
authors.lastname: Matsuba
authors.forename: M
authors.initials: M
authors.lastname: Sarai
authors.forename: M
authors.initials: M
authors.lastname: Tokuda
authors.forename: J
authors.initials: J
authors.lastname: Wang
authors.forename: H
authors.initials: H
authors.lastname: Kurokawa
authors.forename: T
authors.initials: T
authors.lastname: Kondo
authors.forename: H
authors.initials: H
authors.lastname: Hishida
authors.forename: Y
authors.initials: Y
authors.lastname: Watanabe
mesh_terms: D000328:Adult; D000792:Angiography; D004452:Echocardiography; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed / Q000379:methods*